Author Question: A nurse is working with a client who will be signing a commitment to treatment statement. After ... (Read 17 times)

olgavictoria · **on:** Jul 19, 2018

A nurse is working with a client who will be signing a commitment to treatment statement. After teaching the client about this statement, the nurse determines the need for additional instruction when the client states which of the following?

A) Signing this statement means that I will not commit suicide.
B) I am agreeing to get emergency treatment if I have suicidal thoughts.
C) I will be open and honest about my feelings about treatment.
D) I am agreeing to participate in the necessary treatment for my condition.

Question 2

A nurse is performing an assessment of a client with suicidal ideation. Which question would the nurse most likely ask to determine the degree of planning?

A) How seriously do you want to die?
B) Have you attempted suicide before?
C) Could you stop yourself from killing yourself?
D) How much do the thoughts distress you?

nguyenhoanhat · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: A
Clients are usually ambivalent about wanting to die. The Commitment to Treatment Statement (CTS) directly addresses ambivalence about treatment by asking the client to make a commitment to treatment. Different from the no-suicide contract, the CTS does not restrict the client's rights regarding the option of suicide. Instead, the client agrees to engage in treatment and access emergency service if needed. Underlying the CTS is the expectation that the client will communicate openly and honestly about all aspects of treatment, including suicide. This commitment is written and signed by the client.

Answer to Question 2

CThe question about stopping oneself from suicide reflects the degree of planning. Asking the client about how seriously he wants to die and about previous attempts of suicide reflect the client's intent to die. Asking about how much the thoughts are distressing reflects the severity of the ideation-